Provider Demographics
NPI:1093055014
Name:POMPEE, CARLINE (REGISTERED NURSE)
Entity Type:Individual
Prefix:MS
First Name:CARLINE
Middle Name:
Last Name:POMPEE
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2051 STATE ROUTE 32
Mailing Address - Street 2:
Mailing Address - City:MODENA
Mailing Address - State:NY
Mailing Address - Zip Code:12548-5017
Mailing Address - Country:US
Mailing Address - Phone:845-866-5319
Mailing Address - Fax:
Practice Address - Street 1:2051 STATE ROUTE 32
Practice Address - Street 2:
Practice Address - City:MODENA
Practice Address - State:NY
Practice Address - Zip Code:12548-5017
Practice Address - Country:US
Practice Address - Phone:845-866-5319
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-02-28
Last Update Date:2013-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY450993-1163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health